NPIMap

Organization Active NPI

Roseburg VA Healthcare System

  • Adult Mental Health Clinic/Center
  • Roseburg, OR
National Provider Identifier
1992737464
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1177 Issued in OR
Legal business name
ROSEBURG VA HEALTHCARE SYSTEM
Practice address
913 NW Garden Valley Blvd
Roseburg, OR 97470-6513
Phone
(541) 607-7584
Fax
(541) 600-7581
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. George Marnell
Title
Medical Center Director
Phone
(541) 440-1000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1177 OR Primary
Multi-Specialty Clinic/Center 261QM1300X 1177 OR
Rural Acute Care Hospital 282NR1301X 1177 OR

Addresses

Primary practice location

913 NW Garden Valley Blvd
Roseburg, OR 97470-6513

Mailing address

913 NW Garden Valley Blvd
Roseburg, OR 97470-6513
Phone (541) 607-7584

Other names 1

  • Eugene River Avenue Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Roseburg Vamc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

913 NW Garden Valley Blvd
Roseburg, OR 97471

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992737464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 NW GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706513",
            "telephone_number": "541-607-7584",
            "fax_number": "541-600-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 NW GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706513",
            "telephone_number": "541-607-7584",
            "fax_number": "541-600-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBURG VA HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARNELL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL CENTER DIRECTOR",
        "authorized_official_telephone_number": "541-440-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "1177",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OR",
            "license": "1177",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OR",
            "license": "1177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eugene River Avenue Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.